Provider Demographics
NPI:1457307126
Name:HARRIS, SONYA R (MS,CCC-A)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:R
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MS,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1545
Mailing Address - Country:US
Mailing Address - Phone:205-296-6096
Mailing Address - Fax:
Practice Address - Street 1:2523 5TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-3303
Practice Address - Country:US
Practice Address - Phone:205-322-8790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL877A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist